NPI | 1386756849 |
---|---|
Former Name | ANGELA CHRISTINA HOFFMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: ID PA736) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 0102771) |
363A00000X Physician Assistant (Licence: OR PA01350) | |
Enumeration Date | 2006-08-31 |
Last Update Date | 2022-03-04 |