| NPI | 1902297435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277002842) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2024043786) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209012548) | |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2026-06-15 |