| NPI | 1356807242 |
|---|---|
| Former Name | JUSTINE MARIE SCHLEIFFELDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: SC 25869) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY F343487-1) |
| Enumeration Date | 2019-02-15 |
| Last Update Date | 2024-01-12 |