| NPI | 1407376825 |
|---|---|
| Former Name | KATE M MAHOCKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN F06172090) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 5263) |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2020-11-10 |