| NPI | 1194956755 |
|---|---|
| Former Name | ELIZABETH KAY KACZMAREK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 14039) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist Family Health (Licence: TN 14039) |
| 364SF0001X Clinical Nurse Specialist Family Health (Licence: TN 0000014039) | |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2019-01-04 |