| NPI | 1386196210 |
|---|---|
| Former Name | ROSE M JUSZCZAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 7363-33) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: WI 7363-33) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: WI 7363-33) | |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2023-02-06 |