NPI | 1134613425 |
---|---|
Former Name | DANIELLE ELIZABETH HOOP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: KY PA2369) |
Enumeration Date | 2018-06-19 |
Last Update Date | 2025-01-02 |