| NPI | 1740718378 |
|---|---|
| Former Name | CHRISTINE ELIZABETH JEZIORSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0106X Nurse Practitioner, Occupational Health (Licence: SC 24295) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: SC 10791) |
| Enumeration Date | 2017-05-26 |
| Last Update Date | 2023-12-10 |