| NPI | 1912529165 |
|---|---|
| Former Name | KATHARINE WICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024181605) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 9022) |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2023-09-27 |