| NPI | 1932140951 |
|---|---|
| Former Name | JOHANNA EVELYN COPELAND-JIRIKOVEC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN APN0000005623) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2018-05-25 |