| NPI | 1326694175 |
|---|---|
| Former Name | CAROLE LEIGH CZEPIEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP020520) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA SP020520) |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2022-09-19 |