| NPI | 1023547486 |
|---|---|
| Former Name | HANNAH GRACE STATZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: SD 13303) |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: IL 125070057) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2023-01-11 |