| NPI | 1316615818 |
|---|---|
| Former Name | DANA MISIASZEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: SD CP002168) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SD F08211115) |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2022-12-14 |