NPI | 1568846632 |
---|---|
Former Name | JENNIFER ASHLEY KUCZMANSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F307401) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F307401) |
Enumeration Date | 2015-07-17 |
Last Update Date | 2018-06-29 |