NPI | 1568642692 |
---|---|
Former Name | ALLISON LAYNE HOGUE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 1939) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA05500) |
Enumeration Date | 2007-11-06 |
Last Update Date | 2011-03-14 |