NPI | 1902421076 |
---|---|
Professional Name | LACY L KATOWICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN F09201325) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28151346A) |
Enumeration Date | 2020-06-14 |
Last Update Date | 2023-04-07 |