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 |