NPI | 1831537018 |
---|---|
Former Name | STEPHANIE BORKOWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP015699) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00443900) |
Enumeration Date | 2013-06-10 |
Last Update Date | 2016-04-22 |