| NPI | 1811317068 |
|---|---|
| Other Name | JANA M HAIDAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN MD017117) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 18685) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 18685) | |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2022-04-15 |