| NPI | 1548689367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-011504) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 041396460) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2025-10-08 |