NPI | 1912067034 |
---|---|
Former Name | SHANNON OCZKOWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 059741-23) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NH 059741-21) |
Enumeration Date | 2006-12-11 |
Last Update Date | 2019-05-24 |