NPI | 1619925708 |
---|---|
Former Name | CHANTELLE K HOKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA051052) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C03839) |
Enumeration Date | 2006-05-04 |
Last Update Date | 2009-12-09 |