| 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 |