NPI | 1336688639 |
---|---|
Former Name | SARA OSMOLINSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704235566) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 000000000) |
Enumeration Date | 2017-02-20 |
Last Update Date | 2024-02-12 |