NPI | 1134649098 |
---|---|
Former Name | MELANIE KAY HOSKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 8630) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CT 3864) |
Enumeration Date | 2017-06-22 |
Last Update Date | 2024-11-06 |