| NPI | 1760081483 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 2090220809) | 
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: IL 2090220809) | 
| Enumeration Date | 2020-10-23 | 
| Last Update Date | 2025-04-16 |