| NPI | 1932844735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 277005132) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209024685) |
| Enumeration Date | 2022-05-05 |
| Last Update Date | 2026-06-05 |