| NPI | 1124327630 |
|---|---|
| Professional Name | JAN RUTH JURACOVICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: LA AP06340) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: LA RN063196-AP06340) |
| 163W00000X Registered Nurse (Licence: LA RN063196) | |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2014-05-13 |