| NPI | 1639918923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209029752) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041420938) |
| Enumeration Date | 2024-05-24 |
| Last Update Date | 2026-01-14 |