NPI | 1336421460 |
---|---|
Former Name | MARY B PRONSCHINSKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 5228) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 2036302) |
363LF0000X Nurse Practitioner, Family (Licence: MN 203630-2) | |
Enumeration Date | 2011-09-14 |
Last Update Date | 2022-07-21 |