| NPI | 1578082418 |
|---|---|
| Former Name | JESSICA S LUGAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71007444A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28180080A) |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2021-01-14 |