NPI | 1184884421 |
---|---|
Former Name | KELLEY KUCZYNSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: FL ARNP9323922) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 722312) |
Enumeration Date | 2008-06-10 |
Last Update Date | 2016-02-16 |