NPI | 1760417265 |
---|---|
Former Name | ANETA EVELYN GRODZENSKY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9405292) |
Enumeration Date | 2006-07-12 |
Last Update Date | 2024-05-06 |