NPI | 1790861771 |
---|---|
Former Name | PATRICIA FINK GRONCKI-REICHERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD 343880-22) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD 0023100-06) |
Enumeration Date | 2006-10-31 |
Last Update Date | 2022-06-13 |