NPI | 1255641825 |
---|---|
Former Name | DANIELLE ADAMCZYK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN261207) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN261207) |
Enumeration Date | 2010-10-18 |
Last Update Date | 2018-08-27 |