| NPI | 1932258910 |
|---|---|
| Other Name | STACIE A KOZAKEWICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00157600) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY f303778-1) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2023-02-24 |