| NPI | 1598435372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209024025) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2021037333) |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2025-09-13 |