| NPI | 1114478112 |
|---|---|
| Former Name | AMY ZIEZULEWICZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 113011) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 57576) |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2022-01-18 |