| NPI | 1124486089 |
|---|---|
| Former Name | CRYSTAL A CISZEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11020853) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN209456) |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2022-09-05 |