NPI | 1285156117 |
---|---|
Former Name | LINDSAY ANN ROSE HOBERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 6789) |
Enumeration Date | 2017-07-12 |
Last Update Date | 2021-12-19 |