NPI | 1497332571 |
---|---|
Former Name | JULIA C SANICKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 11002-33) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704260670) |
Enumeration Date | 2021-03-25 |
Last Update Date | 2023-12-22 |