NPI | 1669129961 |
---|---|
Former Name | KRYSTLE NIEWINSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: IL 209025694) |
Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: IL 041.453318) |
Enumeration Date | 2022-03-07 |
Last Update Date | 2024-07-01 |