| NPI | 1679591051 |
|---|---|
| Former Name | JENNIFER M. HAUK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 39611) |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine (Licence: KY 39611) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2013-08-26 |