| NPI | 1205658663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209031843) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11034543) |
| Enumeration Date | 2024-10-28 |
| Last Update Date | 2025-03-07 |