| NPI | 1124230198 |
|---|---|
| Former Name | SHARON LOIS KOZAKIEWICZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F400623) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2007-07-08 |