NPI | 1629650452 |
---|---|
Former Name | ADRIENNE DIANNE HOGUE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MS 905986) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 909859) |
Enumeration Date | 2021-04-21 |
Last Update Date | 2023-07-27 |