| NPI | 1881318335 |
|---|---|
| Former Name | JEANETTE ELIZABETH SOSNOWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN315189) |
| Enumeration Date | 2022-09-28 |
| Last Update Date | 2022-09-28 |