| NPI | 1295706943 |
|---|---|
| Other Name | HATSIE MALLICOAT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 45064) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: KS 64080) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 034959) | |
| 367A00000X Advanced Practice Midwife (Licence: MO 034959) | |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2008-01-08 |