| NPI | 1801551593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277004453) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 377004090) |
| Enumeration Date | 2021-11-08 |
| Last Update Date | 2026-07-31 |