| NPI | 1164903845 |
|---|---|
| Former Name | BROOKE ANN HATTINGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA7723) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DE C5-0001244) |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2021-03-17 |