| NPI | 1588193312 |
|---|---|
| Former Name | KIRSTEN ANTOINETTE MATTILA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA 128204) |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2025-03-17 |