NPI | 1043601156 |
---|---|
Former Name | JANET MICHNIEWICZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00537600) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 24726) |
Enumeration Date | 2015-02-10 |
Last Update Date | 2021-10-18 |