NPI | 1104199843 |
---|---|
Former Name | NICOLE LEE PIOTROWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LX0106X Nurse Practitioner, Occupational Health (Licence: WI 7803-33) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 184270-30) |
363LF0000X Nurse Practitioner, Family (Licence: WI 7803-33) | |
Enumeration Date | 2012-02-10 |
Last Update Date | 2020-02-17 |