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 | 2024-04-23 |