| NPI | 1669982427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 277003135) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209016251) |
| Enumeration Date | 2017-10-06 |
| Last Update Date | 2025-03-10 |