NPI | 1346642170 |
---|---|
Former Name | KAITLYN N ANTKOWIAK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F338888) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F338888) |
Enumeration Date | 2014-09-24 |
Last Update Date | 2021-01-20 |