| NPI | 1952800435 |
|---|---|
| Former Name | JACLYN ELIZABETH EFRUSY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MI 4704299676) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704299676) |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2024-01-31 |