NPI | 1619569936 |
---|---|
Former Name | KRISTIN M. PILAKOWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IA 113030) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NE 2538) |
363A00000X Physician Assistant (Licence: KS 15-02442) | |
Enumeration Date | 2021-02-08 |
Last Update Date | 2022-04-14 |