NPI | 1639604770 |
---|---|
Former Name | ANNA ELIZABETH HACKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0068582) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2020-01296) |
208M00000X Hospitalist (Licence: CO DR.0068582) | |
Enumeration Date | 2017-04-26 |
Last Update Date | 2024-06-25 |