NPI | 1538840715 |
---|---|
Former Name | KALYNA VERA WITKOWSKY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209.030926) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: IL 041.462706) |
Enumeration Date | 2023-07-31 |
Last Update Date | 2024-10-30 |