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 |