| NPI | 1790932721 |
|---|---|
| Former Name | ELAINE GAYLE LUKASAVITZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MI 4704091276) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704091276) |
| 207V00000X Obstetrics & Gynecology (Licence: MI 4704091276) | |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2011-11-22 |