| NPI | 1912879834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 041430581) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209033431) |
| Enumeration Date | 2025-09-19 |
| Last Update Date | 2025-10-30 |