NPI | 1043698475 |
---|---|
Former Name | KAREN ANN NYCEK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MI 4704127034) |
Enumeration Date | 2015-05-18 |
Last Update Date | 2016-05-05 |