| NPI | 1023011210 |
|---|---|
| Former Name | MAUREEN ANN STANEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1116044) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA VP004369B) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA VP004369B) | |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2024-02-27 |