| NPI | 1639969850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209032333) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209032333) |
| Enumeration Date | 2025-05-09 |
| Last Update Date | 2025-08-01 |