| NPI | 1083643399 |
|---|---|
| Former Name | JACQUELINE KALVAITIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: FL ARNP9206112) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2007-07-08 |