| NPI | 1922405315 |
|---|---|
| Former Name | KIRSTEN MARCINIAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 13035) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NJ 25MP00353900) |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2019-06-12 |