NPI | 1063800886 |
---|---|
Former Name | JOHANNA HUFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 131324) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 10010285) |
Enumeration Date | 2014-12-31 |
Last Update Date | 2023-08-17 |