NPI | 1649647975 |
---|---|
Former Name | HILARY LINN HEWITT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WV 1927) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WV 85791) |
363A00000X Physician Assistant (Licence: WV 705) | |
Enumeration Date | 2015-08-21 |
Last Update Date | 2025-02-03 |