| NPI | 1386370179 | 
|---|---|
| Former Name | ESMERALDA MUJANIC | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11016175) | 
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 11016175) | 
| Enumeration Date | 2022-07-25 | 
| Last Update Date | 2022-07-25 |