| NPI | 1669427696 |
|---|---|
| Former Name | JANE DENISE LEVINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704148241) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2007-07-08 |