NPI | 1407391253 |
---|---|
Former Name | MARY HOFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95005061) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71015993A) |
Enumeration Date | 2017-01-04 |
Last Update Date | 2024-11-05 |