| NPI | 1407248651 |
|---|---|
| Former Name | CAROLYN ANN CHMIELEWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 7197-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209012459) |
| Enumeration Date | 2015-02-25 |
| Last Update Date | 2018-09-26 |