| NPI | 1013267780 |
|---|---|
| Former Name | KATIE MARIE HOOGSTRATE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601007326) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 22541) |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2021-03-02 |