| NPI | 1255952529 |
|---|---|
| Former Name | KATHLEEN MIKULAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2024019268) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2020-04-28 |
| Last Update Date | 2024-10-09 |