NPI | 1346624889 |
---|---|
Former Name | HOPE KATHLEEN WEBER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: PA MA057618) |
Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: PA MA057618) |
Enumeration Date | 2015-07-15 |
Last Update Date | 2024-10-11 |