NPI | 1114774676 |
---|---|
Former Name | KAROLINA KIELBANIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209030014) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.454530) |
Enumeration Date | 2024-05-02 |
Last Update Date | 2024-08-23 |