NPI | 1629301981 |
---|---|
Former Name | LINDSAY ALLISON JAROSAK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 28165546A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209008831) |
Enumeration Date | 2009-09-17 |
Last Update Date | 2022-03-12 |