NPI | 1194253732 |
---|---|
Former Name | JODI CHRISTINE GERMERAAD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 22628) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 041335929) |
Enumeration Date | 2017-05-26 |
Last Update Date | 2022-03-25 |