| NPI | 1629530399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 277004354) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 209.019108) |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2025-07-23 |