| NPI | 1114960044 |
|---|---|
| Former Name | LISA L HATMAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704161719) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704161719) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2019-08-27 |