NPI | 1427392687 |
---|---|
Former Name | GINA MARIE ZLOTOCHA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 4989-33) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 4989-33) |
Enumeration Date | 2012-11-12 |
Last Update Date | 2017-04-03 |