| NPI | 1235408527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209009168) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 209009168) |
| Enumeration Date | 2011-12-15 |
| Last Update Date | 2025-06-30 |