| NPI | 1740949817 |
|---|---|
| Former Name | LIDIJA JASMINA BRUKETA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: OH 0030998) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: OH 405328) |
| Enumeration Date | 2021-12-15 |
| Last Update Date | 2022-03-18 |