| NPI | 1740665389 |
|---|---|
| Former Name | KATHRYN JANE HANDRICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WI 6620) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 193019-30) |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2019-08-29 |