NPI | 1881098861 |
---|---|
Former Name | WHITNEY HORN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: KY PA1965) |
Enumeration Date | 2014-10-20 |
Last Update Date | 2018-08-16 |