| NPI | 1245053669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209030956) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 041417776) |
| Enumeration Date | 2024-11-04 |
| Last Update Date | 2025-01-16 |