NPI | 1447805627 |
---|---|
Former Name | JUSTINE MARIJAN AVRAMOVIC |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.025288) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.372143) |
Enumeration Date | 2019-08-05 |
Last Update Date | 2019-08-06 |