NPI | 1831505064 |
---|---|
Former Name | BRIANNA KALINOWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 193) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R184700-0) |
Enumeration Date | 2014-07-09 |
Last Update Date | 2020-08-10 |