| NPI | 1144728783 |
|---|---|
| Former Name | JACQUELINE LIPPE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209017129) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209.017129) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: IL 209.017129) | |
| Enumeration Date | 2018-01-29 |
| Last Update Date | 2024-08-14 |