NPI | 1427339407 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSICA ELIZABETH WROBLEWSKI Clinical Director 855-855-2710 |
Organization Subpart ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 162900-30) |
Enumeration Date | 2011-09-02 |
Last Update Date | 2011-12-04 |