NPI | 1083245120 |
---|---|
Former Name | KRYSTINA L KARCZEWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 9859) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 230464) |
Enumeration Date | 2020-01-28 |
Last Update Date | 2023-02-06 |