| NPI | 1265906523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277005001) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 377004520) |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2026-06-03 |