NPI | 1134350432 |
---|---|
Former Name | JESSICA M. KALINOWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 004871) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 004871) |
Enumeration Date | 2009-08-04 |
Last Update Date | 2019-09-06 |