| NPI | 1689224362 |
|---|---|
| Former Name | SHELBY JANE HATZINGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OR PG199450) |
| Additional Taxonomies | 171000000X Military Health Care Provider |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2023-07-03 |