| NPI | 1407443658 |
|---|---|
| Former Name | KATIE E ZWICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-79925-091) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2014024183) |
| 163W00000X Registered Nurse (Licence: KS 13-127781-091) | |
| Enumeration Date | 2020-12-22 |
| Last Update Date | 2021-02-09 |