| NPI | 1518322437 |
|---|---|
| Former Name | JESSICA HOMYAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209013105) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP15363) |
| Enumeration Date | 2015-12-18 |
| Last Update Date | 2022-10-24 |