NPI | 1497139505 |
---|---|
Former Name | KRISTINE HOBBS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PA09882) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA09882) |
Enumeration Date | 2015-07-17 |
Last Update Date | 2025-05-02 |