NPI | 1003264292 |
---|---|
Former Name | DEVON FURTAK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL ARNP9457878) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ00661100) |
363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00661100) | |
Enumeration Date | 2016-05-27 |
Last Update Date | 2017-10-26 |