| NPI | 1154625788 |
|---|---|
| Former Name | MICHELLE L KOWALCZYK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 1268) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R198424-8) |
| Enumeration Date | 2010-12-22 |
| Last Update Date | 2020-08-07 |