NPI | 1881870657 |
---|---|
Former Name | COURTNEY LANE HOOD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9110566) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 001001101) |
363A00000X Physician Assistant (Licence: NV PA1523) | |
Enumeration Date | 2008-01-11 |
Last Update Date | 2017-10-25 |