NPI | 1356454698 |
---|---|
Former Name | ELIZABETH PAULINE HOEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA PA19934) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: GA 002934) |
Enumeration Date | 2006-08-17 |
Last Update Date | 2010-08-25 |