| NPI | 1588794556 |
|---|---|
| Former Name | LIDIA IRENA STANEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 46203) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01043484) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2018-09-13 |