NPI | 1871068247 |
---|---|
Former Name | JACLYN MARIE SOJDA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 24941) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 24941) |
363LA2200X Nurse Practitioner, Adult Health (Licence: TN 24941) | |
Enumeration Date | 2018-10-11 |
Last Update Date | 2024-07-17 |