| NPI | 1740589134 |
|---|---|
| Former Name | ADRIENNE HACKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VT 042.0012860) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2020-12-02 |