NPI | 1467140137 |
---|---|
Former Name | ALEXANDRA B KORZYNSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209028619) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 209.028619) |
Enumeration Date | 2023-05-01 |
Last Update Date | 2024-12-03 |