| NPI | 1346912292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 277003534) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: IL 277003534) |
| Enumeration Date | 2021-09-29 |
| Last Update Date | 2026-07-01 |