NPI | 1972996890 |
---|---|
Former Name | WHITNEY HOEHN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO PA.0005245) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA09660) |
363A00000X Physician Assistant (Licence: CO PA.0005245) | |
Enumeration Date | 2015-03-17 |
Last Update Date | 2018-10-22 |