| NPI | 1154724623 |
|---|---|
| Former Name | JOANITA MAISON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209011959) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209011959) |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2025-02-18 |