| NPI | 1215917208 |
|---|---|
| Former Name | SALLY J SOFFA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 37678) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.18219) |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2025-04-01 |