NPI | 1972795102 |
---|---|
Former Name | IZABELA OLGA KRAKOWIAK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 254091) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 046632) |
Enumeration Date | 2007-08-12 |
Last Update Date | 2021-07-26 |