| NPI | 1770833170 |
|---|---|
| Former Name | SARAH GRODZICKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 005050) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 005050) |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2015-09-23 |