| NPI | 1376944561 |
|---|---|
| Former Name | ELIZABETH KROLICZAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00782600) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP014392) |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2019-12-03 |