| NPI | 1821316837 |
|---|---|
| Former Name | MARY J DORENCZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704224949) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209008161) |
| Enumeration Date | 2010-05-14 |
| Last Update Date | 2023-08-30 |