NPI | 1811317068 |
---|---|
Other Name | JANA M HAIDAK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 18685) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 18685) |
Enumeration Date | 2014-04-25 |
Last Update Date | 2025-05-20 |