| NPI | 1225314990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 277003870) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209009165) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209009165) | |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2025-05-06 |