| NPI | 1154676625 |
|---|---|
| Former Name | KATLYN SZYMCZAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209013226) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 04138163) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209013226) | |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2017-12-08 |