| NPI | 1982655478 |
|---|---|
| Former Name | KACIE D HARTWICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2004002306) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 45649) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2015-07-23 |