| 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 |