NPI | 1134443815 |
---|---|
Other Name | MAE ROSANNE V HANCOCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9105391) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110010729) |
363A00000X Physician Assistant (Licence: NC 0010-15257) | |
Enumeration Date | 2010-03-24 |
Last Update Date | 2025-09-25 |