| NPI | 1689750846 |
|---|---|
| Former Name | MARILYN E MACKOWIAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209-002173) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 41-136229) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2012-12-19 |