| NPI | 1295977577 |
|---|---|
| Former Name | KIRSTEN ANN WENNERMARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME130510) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL ME130510) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2024-02-12 |