| NPI | 1609503085 |
|---|---|
| Former Name | GAIL MARION MARQUARDT-KUJAWA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 13055) |
| Enumeration Date | 2022-08-04 |
| Last Update Date | 2023-11-27 |