| NPI | 1750789756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 277001326) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209015289) |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2026-04-10 |