| NPI | 1275517559 |
|---|---|
| Former Name | REGINA MARIA SEIBUTIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71002891A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209002944) |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2013-02-21 |