| NPI | 1477369882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209032775) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041501119) |
| Enumeration Date | 2024-12-10 |
| Last Update Date | 2025-07-31 |