| NPI | 1588818496 |
|---|---|
| Former Name | KATHERINE MARIE LOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MI 4704239097) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MI KL239097) |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2020-07-28 |