NPI | 1700320934 |
---|---|
Former Name | KATHRYN A MATKOVICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9359763) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN9359763) |
Enumeration Date | 2016-12-07 |
Last Update Date | 2019-10-24 |