| NPI | 1851424030 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277-002076) | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 041-327567) | 
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209008309) | |
| Enumeration Date | 2007-03-14 | 
| Last Update Date | 2025-04-02 |