| NPI | 1457877839 |
|---|---|
| Former Name | KAITLYN PLATEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.016306) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 048.37333) |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2024-07-15 |