| Contact Information | |
|---|---|
| First Name | Nicki |
| Last Name | Novak |
| State | WI |
| Home Phone | 715 - 258-3605 |
| Work Phone | - |
| Fax | |
| nicki@g2a.net | |
| Alternate Email | |
| Website Address | |
| Gender | Female |
| Injury Information | |
| The injured person is | Child |
| Name of Injured | Hannah - Novak |
| Date of Injury | 03/28/00 |
| Type of Injury | Obstetric |