| NPI | 1730416819 |
|---|---|
| Former Name | HEATHER R HOBAUGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: PA MA054206) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA054206) |
| Enumeration Date | 2009-11-10 |
| Last Update Date | 2020-10-05 |