| NPI | 1447679642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209017346) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041274152) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2026-01-20 |