Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 390200000X | NY |
NPI | 1184925075 |
---|---|
Provider Name | Dr. Stefanie Kam Hatfield |
First Address | Santa Cruz, CA 95065-1709 |
Second Address | Santa Cruz, CA 95065-1709 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2010 |
Last Update Date | 24/01/2014 |