| NPI | 1316553720 |
|---|---|
| Other Name | KATIE PACKWOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 9930-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 9930-33) |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2023-05-23 |