| NPI | 1649556747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 277001384) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209009173) |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2026-04-10 |