| NPI | 1922869601 |
|---|---|
| Former Name | EMILY MATECKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704299361) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: MI 4704299361) |
| Enumeration Date | 2024-01-19 |
| Last Update Date | 2025-01-13 |