NPI | 1295289262 |
---|---|
Former Name | SUSANNE E HOTCHKIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 53832) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2016-08-08 |
Last Update Date | 2017-09-25 |