| NPI | 1801802756 |
|---|---|
| Former Name | KATHRYN KOZLOWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CT 000367) |
| Additional Taxonomies | 207QA0000X Family Medicine, Adolescent Medicine (Licence: CT CT 000367) |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: CT CT 000367) | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2015-06-09 |