NPI | 1396282414 |
---|---|
Former Name | NATALIE HAAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: HI AMD-1030) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL 9109882) |
363AM0700X Physician Assistant, Medical (Licence: NY 019930-1) | |
Enumeration Date | 2017-01-26 |
Last Update Date | 2022-06-21 |