| NPI | 1245691799 |
|---|---|
| Former Name | DOROTA MOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209014026) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209014026) |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2022-10-07 |