NPI | 1033103981 |
---|---|
Former Name | TOSHA A HAMNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MS PA031) |
363A00000X Physician Assistant (Licence: OK 2238) | |
363A00000X Physician Assistant (Licence: CO 4572) | |
363A00000X Physician Assistant (Licence: TN 3180) | |
Enumeration Date | 2005-09-07 |
Last Update Date | 2021-05-04 |