| NPI | 1851023519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209026057) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041438367) |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704327222) | |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2025-06-05 |