NPI | 1356797823 |
---|---|
Former Name | HEATHER LYNN HOPF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: IN 01089854A) |
Additional Taxonomies | 208800000X Urology (Licence: FL ME150650) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-05-13 |
Last Update Date | 2025-03-10 |