NPI | 1285038778 |
---|---|
Former Name | KAREN ANNE KRYDYNSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 041.341773) |
Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: IL 043.088604) |
Enumeration Date | 2014-10-13 |
Last Update Date | 2014-10-13 |