NPI | 1497193668 |
---|---|
Former Name | KIMBERLY ANN ZDANOWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MI 4704221665) |
Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: MI 4704221665) |
Enumeration Date | 2013-06-11 |
Last Update Date | 2013-06-11 |