| NPI | 1043771918 |
|---|---|
| Former Name | CHRISTINE CATHERINE HANISH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ND 18772) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 7799) |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2023-12-11 |