| NPI | 1518219757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209009883) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041364293) |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2026-04-29 |