NPI | 1629552112 |
---|---|
Former Name | KATELYN E. HAMANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704299366) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MI 4704299366) |
Enumeration Date | 2018-09-20 |
Last Update Date | 2024-02-21 |