NPI | 1942589551 |
---|---|
Former Name | JAMIE JANOWIAK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: IL 209009058) |
Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: IL 104-36-4384) |
Enumeration Date | 2011-08-12 |
Last Update Date | 2022-09-29 |