| NPI | 1891268991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 277002831) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209.018538) |
| Enumeration Date | 2019-01-10 |
| Last Update Date | 2025-09-30 |