| NPI | 1801174404 |
|---|---|
| Former Name | KATHRYN MARIE BAUK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN272845) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 20111450) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2307499) | |
| Enumeration Date | 2011-07-30 |
| Last Update Date | 2023-03-07 |