NPI | 1912975376 |
---|---|
Former Name | KATHRYN MARY PIETRUSIEWICZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP132479) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9179633) |
Enumeration Date | 2006-03-10 |
Last Update Date | 2021-03-18 |