| NPI | 1376070847 |
|---|---|
| Former Name | JANNA LYNN CONRAD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71007158A) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: IN 28135072A) |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2022-12-20 |