NPI | 1790154375 |
---|---|
Former Name | LINDSAY A JAKOPOVIC |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: KS 76976) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NE 111881) |
Enumeration Date | 2015-09-24 |
Last Update Date | 2018-09-24 |