NPI | 1518246990 |
---|---|
Former Name | HEATHER HOBBY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP9255947) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9255947) |
Enumeration Date | 2011-08-16 |
Last Update Date | 2019-09-10 |