| NPI | 1932617925 |
|---|---|
| Former Name | JANE M HEROLD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2017002557) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209022530) |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2023-02-01 |