| NPI | 1114241247 |
|---|---|
| Former Name | JANE ANN VANBOCKEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3006587) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1097947) |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2018-04-19 |