NPI | 1548881568 |
---|---|
Former Name | JOANNA OSTROSKY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2293192) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2293192) |
Enumeration Date | 2020-04-30 |
Last Update Date | 2020-06-08 |