| NPI | 1285506204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209033205) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 041.499139) |
| Enumeration Date | 2025-09-19 |
| Last Update Date | 2026-01-07 |