NPI | 1124793872 |
---|---|
Former Name | JESSICA LEE HOFFERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.0029395) |
Enumeration Date | 2021-08-14 |
Last Update Date | 2022-04-13 |