NPI | 1255683850 |
---|---|
Former Name | CARMEN L DRZEWIECKI ANDERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 5082-33) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 5082-33) |
Enumeration Date | 2012-10-05 |
Last Update Date | 2019-09-16 |