| NPI | 1548690589 |
|---|---|
| Former Name | KIMBERLEY ANN PIENIAZEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 405851) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 649130) |
| Enumeration Date | 2013-11-12 |
| Last Update Date | 2024-08-15 |