| NPI | 1972125680 |
|---|---|
| Former Name | EMMA JANE BONHAM HACKEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD480787) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT220147) |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2024-06-11 |