NPI | 1568897205 |
---|---|
Former Name | KAITLYN L MARSOLEK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 1351) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 164459) |
Enumeration Date | 2013-09-12 |
Last Update Date | 2021-06-21 |