| NPI | 1235517137 |
|---|---|
| Former Name | NATALIE HOGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 080343) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OT016323) |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2024-01-24 |