| NPI | 1255511069 |
|---|---|
| Former Name | THADINE KATHERINE WAKULA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: NY 279498-1) |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2007-11-08 |