NPI | 1114674652 |
---|---|
Former Name | CYNTHIA ANN LYCZKOWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 364SC0200X Clinical Nurse Specialist, Critical Care Medicine (Licence: MN 522) |
Additional Taxonomies | 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: MN 522) |
Enumeration Date | 2022-03-04 |
Last Update Date | 2022-03-04 |