NPI | 1154835098 |
---|---|
Former Name | KATHRYN LOUISE GACEK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 2175) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 8999) |
Enumeration Date | 2017-11-30 |
Last Update Date | 2020-10-15 |