| NPI | 1194370585 |
|---|---|
| Former Name | KAREN MAUREEN HETRICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209031425) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R212161) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209031425) | |
| Enumeration Date | 2019-08-03 |
| Last Update Date | 2025-01-23 |