| NPI | 1659771863 |
|---|---|
| Former Name | JUSTINE E FITZMAURICE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277002469) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209-011746) |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2025-04-18 |