NPI | 1093069619 |
---|---|
Former Name | HELENE R SERWATKA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WI 5177) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209014748) |
Enumeration Date | 2012-11-05 |
Last Update Date | 2020-09-08 |