| NPI | 1710314257 |
|---|---|
| Other Name | AMY CHRISTINE HACKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WI 7475) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 59764) |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2023-09-01 |