NPI | 1063995249 |
---|---|
Former Name | DIANA MICHELLE HOFFERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024189036) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5010973) |
Enumeration Date | 2018-09-13 |
Last Update Date | 2024-03-01 |