NPI | 1548858046 |
---|---|
Former Name | BRITTANY AMBER LIJEWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WI 14387) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 24550030) |
Enumeration Date | 2021-01-10 |
Last Update Date | 2023-09-19 |