NPI | 1972910149 |
---|---|
Former Name | LYNDSAY HOCKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA062530) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA6044) |
Enumeration Date | 2014-07-18 |
Last Update Date | 2021-11-04 |