| NPI | 1356033203 | 
|---|---|
| Former Name | ANNA AGNIESZKA PIASECZNA | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95025338) | 
| Additional Taxonomies | 163WS0121X Registered Nurse, Plastic Surgery (Licence: CA 95210440) | 
| Enumeration Date | 2023-05-22 | 
| Last Update Date | 2023-06-12 |