| NPI | 1578813606 |
|---|---|
| Former Name | JOLINE MICHELLE LEVANETZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 5048-33) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 5048-33) |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2024-05-07 |