NPI | 1699395897 |
---|---|
Former Name | JILL FRANCES KRZYZEWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95014418) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95014418) |
363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95014418) | |
Enumeration Date | 2020-04-17 |
Last Update Date | 2023-06-28 |