| NPI | 1255391264 |
|---|---|
| Former Name | JOANNA ROBERTA DAUGERDAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP008329) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN518829L) |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2017-04-13 |