NPI | 1780925958 |
---|---|
Former Name | CYNTHIA LU KREZEK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: MN 0380) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 124800-1) |
Enumeration Date | 2013-03-12 |
Last Update Date | 2019-01-11 |