| NPI | 1922516483 |
|---|---|
| Former Name | HEATHER ANN HOSMER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 6952) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: SC TL2917) |
| 363A00000X Physician Assistant (Licence: WA PA61003115) | |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2024-03-27 |