| NPI | 1144306689 |
|---|---|
| Former Name | COLLEEN HOGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA053367) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA04371) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2009-02-17 |