NPI | 1235162827 |
---|---|
Other Name | PEGGY M HOEMEKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA20040026) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA20040026) |
Enumeration Date | 2006-07-08 |
Last Update Date | 2007-07-08 |