| NPI | 1184607707 | 
|---|---|
| Former Name | JANE F. KOLBACH | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 99750-030)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041-232873)  | 
| Enumeration Date | 2005-11-29 | 
| Last Update Date | 2007-07-09 |