NPI | 1174194310 |
---|---|
Former Name | ELANA ROSE HOFFMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 8339) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MN 2328670) |
163WP0808X Registered Nurse, Psych/Mental Health (Licence: WI 23931830) | |
Enumeration Date | 2021-07-08 |
Last Update Date | 2023-05-10 |