| NPI | 1891113247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209011492) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041374812) |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2026-01-06 |