| NPI | 1922778182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 041484249) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 277.003855) |
| Enumeration Date | 2021-09-17 |
| Last Update Date | 2026-02-27 |