NPI | 1417586108 |
---|---|
Former Name | EMILIA WERONIKA PIERZCHALSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 10524) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 7320) |
Enumeration Date | 2020-04-03 |
Last Update Date | 2021-01-28 |