NPI | 1275193328 |
---|---|
Former Name | JODI LYNN ZUK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 297136) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 26024) |
Enumeration Date | 2019-06-19 |
Last Update Date | 2025-03-29 |