| NPI | 1588974091 |
|---|---|
| Former Name | KATE WUKASCH |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71003466A) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 28159722A) |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2024-12-30 |