| NPI | 1295568004 |
|---|---|
| Former Name | AMELIA KLONECKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 15483) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 2250703) |
| Enumeration Date | 2024-08-26 |
| Last Update Date | 2025-04-28 |