| NPI | 1326408436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277001954) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209013211) |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2025-04-28 |