| NPI | 1033887112 | 
|---|---|
| Former Name | AMANDA JURCZYK | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: WI 11195-33) | 
| Enumeration Date | 2021-09-02 | 
| Last Update Date | 2024-04-05 |