NPI | 1174085443 |
---|---|
Former Name | KATHRYN KOWALSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 25746) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 25746) |
363L00000X Nurse Practitioner (Licence: TN 25746) | |
Enumeration Date | 2019-04-04 |
Last Update Date | 2024-12-13 |