| NPI | 1194694497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209033157) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-033157) |
| Enumeration Date | 2025-11-04 |
| Last Update Date | 2025-11-19 |