| NPI | 1700115235 |
|---|---|
| Former Name | JANIS MARIE RUSIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: IL 209.007901) |
| Enumeration Date | 2009-12-11 |
| Last Update Date | 2014-06-03 |