| NPI | 1679105308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209020729) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-020729) |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2025-07-29 |