| NPI | 1124492103 |
|---|---|
| Former Name | KIRSTEN KOWALSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN80991-NP-C) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA. 18067-NP) |
| Enumeration Date | 2015-11-13 |
| Last Update Date | 2022-09-19 |