| NPI | 1548623283 |
|---|---|
| Former Name | ELIZABETH ARLENE ANDRYSIAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71006187A) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: IN 28193462A) |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2022-07-21 |