NPI | 1881129377 |
---|---|
Former Name | IZABELA PIECH, WANKOWSKA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 041322017) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: IL 041322017) |
Enumeration Date | 2017-04-22 |
Last Update Date | 2017-04-22 |