| NPI | 1407819477 |
|---|---|
| Former Name | JANENE MARY NOLIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 137819) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IA 107141) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2020-04-10 |