| NPI | 1407630940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 209028007) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209028007) |
| Enumeration Date | 2023-08-24 |
| Last Update Date | 2024-03-05 |