| NPI | 1568764553 |
|---|---|
| Former Name | MARGARET ELAINE JEDLICKA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 19242) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 344442) |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2010-12-02 |