| NPI | 1245025360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209032159) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.032159) |
| Enumeration Date | 2025-04-10 |
| Last Update Date | 2025-10-09 |