| NPI | 1780904946 |
|---|---|
| Former Name | JACQUELYN ANNE HATCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: PA MT203256) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD448490) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2013-06-17 |