| NPI | 1194117861 |
|---|---|
| Former Name | KAITLYN MARIE STRATOWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: MI 5101026602) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2020015125) |
| Enumeration Date | 2015-03-04 |
| Last Update Date | 2022-08-02 |