| NPI | 1144735382 |
|---|---|
| Former Name | CARMEN MATZEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS F09170015) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS F09170015) |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2023-12-14 |