| NPI | 1518773076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209031257) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 041422209) |
| Enumeration Date | 2024-12-09 |
| Last Update Date | 2025-01-23 |