| NPI | 1720029838 |
|---|---|
| Former Name | LORETTA CZARNECKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN R 103113-3) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 152411) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2013-05-28 |