NPI | 1609029305 |
---|---|
Former Name | CHRISTINA LEIGH HOBGOOD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9106456) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: SC TL1371) |
Enumeration Date | 2008-10-28 |
Last Update Date | 2022-07-21 |