| NPI | 1033307780 |
|---|---|
| Former Name | JUSTINE HOLLE DAMMERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SX0204X Clinical Nurse Specialist, Oncology, Pediatrics (Licence: IL 209-006692) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-006692) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2020-12-08 |