NPI | 1326412065 |
---|---|
Former Name | OLGA CHRZASTEK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 006277) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9472351) |
363LG0600X Nurse Practitioner, Gerontology (Licence: CT 006277) | |
Enumeration Date | 2015-11-18 |
Last Update Date | 2022-11-07 |