NPI | 1154564045 |
---|---|
Former Name | PAIGE HATCHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 04-36744) |
Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: KS 04-36744) |
Enumeration Date | 2009-04-08 |
Last Update Date | 2024-07-25 |