| NPI | 1396728614 |
|---|---|
| Former Name | JOAN LUCIENNE BECKERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AK 178) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2009-11-30 |