| NPI | 1760965768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209032702) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IL 160-004457) |
| Enumeration Date | 2018-09-14 |
| Last Update Date | 2025-08-21 |