| NPI | 1063515385 |
|---|---|
| Other Name | SALLY JANE MUICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: IL 209006132) |
| Additional Taxonomies | 163WG0600X Registered Nurse Gerontology (Licence: MO 099684) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2012-11-28 |