NPI | 1952979239 |
---|---|
Former Name | DAISY PILARCZYK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA MD-50383) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA R-12209) |
Enumeration Date | 2021-06-14 |
Last Update Date | 2024-07-22 |