| NPI | 1336795871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209019818) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071.004800) |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2025-12-11 |