| NPI | 1447611009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209014003) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2017039271) |
| Enumeration Date | 2016-03-10 |
| Last Update Date | 2026-02-13 |