NPI | 1396015814 |
---|---|
Former Name | KATHY MELINDA POLEWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC APRN 17846) |
Enumeration Date | 2012-01-02 |
Last Update Date | 2024-04-30 |