| NPI | 1619293669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 277000104) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209007838) |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2026-04-08 |