NPI | 1255576500 |
---|---|
Former Name | MELANIE DEE HOFFMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN APN0000013657) |
Enumeration Date | 2008-12-15 |
Last Update Date | 2010-12-07 |