| NPI | 1629654298 |
|---|---|
| Former Name | KYRIA KONIECZNY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209023411) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2021010405) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2015016704) | |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2024-07-19 |