NPI | 1679096465 |
---|---|
Former Name | JULIE ANNE DZIEWICKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704289735) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MI 4704289735) |
363LF0000X Nurse Practitioner, Family (Licence: MI 4704289735) | |
Enumeration Date | 2017-07-24 |
Last Update Date | 2022-07-22 |