| NPI | 1073000691 |
|---|---|
| Former Name | ANNA I WIJATYK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A176896) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 0) |
| 207Q00000X Family Medicine (Licence: WI 75127) | |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2024-06-21 |