NPI | 1417388521 |
---|---|
Former Name | EMILY S HAKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95002001) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95002001) |
363LF0000X Nurse Practitioner, Family (Licence: AZ AP5245) | |
363LF0000X Nurse Practitioner, Family (Licence: OR 201704873NP-PP) | |
Enumeration Date | 2013-11-29 |
Last Update Date | 2019-04-04 |