| NPI | 1376595843 |
|---|---|
| Former Name | GEORGETTE M MISIEWICZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ AP6435) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NH 034561-23) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2018-02-27 |