NPI | 1962496471 |
---|---|
Other Name | LONDA MARIE HATHAWAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11038526) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11038526) |
363LF0000X Nurse Practitioner, Family (Licence: LA RN042630) | |
363LF0000X Nurse Practitioner, Family (Licence: MD R109289) | |
Enumeration Date | 2005-09-12 |
Last Update Date | 2025-07-11 |