| NPI | 1497221949 |
|---|---|
| Former Name | MARY ROSE MALINOWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 10519) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 10519) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209018508) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2023-10-05 |