NPI | 1205449337 |
---|---|
Former Name | KAMILA AGNIESZKA ZLOBICKA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NH 072225-23) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NH 072225-21) |
Enumeration Date | 2020-08-28 |
Last Update Date | 2021-10-21 |