| NPI | 1649780446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277002308) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209016589) |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2025-11-19 |