| NPI | 1205987047 |
|---|---|
| Former Name | AMBER STAR PAWLIK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 3473) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F333891) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 7443) | |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2021-12-21 |