| NPI | 1639597560 |
|---|---|
| Former Name | KATHRYN E MICHNIOWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209013685) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041398502) |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2022-06-09 |