| NPI | 1801424429 |
|---|---|
| Former Name | HANNAH EVANGELINE SUDDRETH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: WA OP61671548) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA OP61671548) |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2025-11-20 |