| NPI | 1558864132 |
|---|---|
| Former Name | ANDREA HOOVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA059472) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2022-06-20 |