NPI | 1699360057 |
---|---|
Former Name | LEA ROSE HIX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 59517) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2021-03-07 |
Last Update Date | 2024-08-16 |