| NPI | 1629572649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209017321) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A111366) |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2026-05-22 |