| NPI | 1164898722 |
|---|---|
| Former Name | NICOLE A MOKRZYCKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704278477) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MI 4704278477) |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2024-08-21 |