NPI | 1386056364 |
---|---|
Former Name | AMY KLOSIEWICZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: DE L1-0032612) |
Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: DE L1-0032612) |
Enumeration Date | 2014-05-27 |
Last Update Date | 2014-05-27 |