NPI | 1205313038 |
---|---|
Other Name | ALICIA M KWASNESKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD 4704306797) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704306797) |
Enumeration Date | 2018-07-24 |
Last Update Date | 2024-04-03 |