NPI | 1992334700 |
---|---|
Former Name | REBECCA HOPE HATTABAUGH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AR 217798) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA 211598) |
Enumeration Date | 2020-04-03 |
Last Update Date | 2023-03-06 |