| NPI | 1710661889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209027478) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209027478) |
| Enumeration Date | 2023-06-09 |
| Last Update Date | 2026-07-15 |