| NPI | 1518480052 |
|---|---|
| Former Name | BREA A KACZOROWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 7767-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 200530-30) |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2019-11-14 |