| NPI | 1174661128 |
|---|---|
| Former Name | MARY JOAN KMECAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN333951L) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 53126) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2025-03-02 |