NPI | 1013477355 |
---|---|
Former Name | EMMA KATHERYN HATTEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101026800) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2019-03-22 |
Last Update Date | 2023-12-26 |