| NPI | 1700308996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 2017010200) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209016352) |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2026-07-29 |