| NPI | 1093115206 |
|---|---|
| Former Name | KATIE WETSCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A121417) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NE 113217) |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2021-01-13 |