| NPI | 1689251811 |
|---|---|
| Former Name | KARA PEZANOWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61111745) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL TPAN3153) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0104214) | |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2025-05-08 |