| NPI | 1922763036 |
|---|---|
| Former Name | MACY HATFIELD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 30418) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 235065) |
| Enumeration Date | 2021-11-03 |
| Last Update Date | 2022-03-30 |