NPI | 1477626315 |
---|---|
Former Name | BETH ANN PYSZCZYNSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 19558) |
Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: CA 350255) |
Enumeration Date | 2006-11-16 |
Last Update Date | 2019-03-03 |