NPI | 1326307588 |
---|---|
Former Name | JENNIFER ZATORSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 288069) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD454020) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT201313) | |
Enumeration Date | 2012-05-09 |
Last Update Date | 2022-12-28 |