| NPI | 1336665678 |
|---|---|
| Former Name | VIRGINIA HOFMANN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP018054) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 736746-1) |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2023-01-27 |