NPI | 1184683500 |
---|---|
Former Name | MARY ELIZABETH SKOWRONEK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP003053C) |
Enumeration Date | 2006-03-23 |
Last Update Date | 2007-07-08 |