| NPI | 1285516807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209033581) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041329125) |
| Enumeration Date | 2025-07-24 |
| Last Update Date | 2025-11-10 |