| NPI | 1770295396 |
|---|---|
| Former Name | ELIZABETH KASTANEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 9802) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN 9802) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MN 9802) | |
| 207QA0505X Family Medicine, Adult Medicine (Licence: MN 9802) | |
| Enumeration Date | 2022-12-14 |
| Last Update Date | 2023-11-03 |