| NPI | 1760371876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209032668) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: IL 209.032668) |
| Enumeration Date | 2025-07-02 |
| Last Update Date | 2025-09-30 |