NPI | 1164060117 |
---|---|
Former Name | MARIOLA RYMARZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.020530) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: IL 209.020530) |
Enumeration Date | 2019-12-19 |
Last Update Date | 2020-04-13 |