NPI | 1497269377 |
---|---|
Former Name | HEATHER HOBBS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP018161) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: PA SP018161) |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA SP018161) | |
Enumeration Date | 2017-11-29 |
Last Update Date | 2020-06-02 |