| NPI | 1861748717 |
|---|---|
| Former Name | VICKY KOSAKOWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: FL OS13399) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL OS13399) |
| 208D00000X General Practice (Licence: FL uo3299) | |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2022-06-17 |