| NPI | 1790432458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209025419) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 2000357580) |
| Enumeration Date | 2022-03-03 |
| Last Update Date | 2025-03-15 |