| NPI | 1700203593 |
|---|---|
| Former Name | JENNIFER ELIZABETH HRUSKA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209.011392) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.364240) |
| Enumeration Date | 2014-03-18 |
| Last Update Date | 2014-06-25 |