| NPI | 1356093116 |
|---|---|
| Former Name | HALLIE LANE VASCHAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71012157A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28238078A) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-01-24 |
| Last Update Date | 2024-02-15 |