| NPI | 1275959652 |
|---|---|
| Former Name | KATHLEEN MARIE KOCHANOWICZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MI 4704261411) |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2021-01-28 |