NPI | 1518206911 |
---|---|
Former Name | SANDRA E HEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: RI PA00691) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NH 1836) |
Enumeration Date | 2013-02-05 |
Last Update Date | 2024-10-23 |