NPI | 1871139766 |
---|---|
Former Name | JOANNA WEGRZYNOWICZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-018673) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209018673) |
Enumeration Date | 2019-11-26 |
Last Update Date | 2023-12-21 |