| NPI | 1356897771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209032414) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 000000) |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2025-06-24 |