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 |