NPI | 1447027842 |
---|---|
Former Name | INDIA CAMILLE HOFER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 15544) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 242210) |
163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: WI 242210) | |
Enumeration Date | 2023-12-06 |
Last Update Date | 2024-08-18 |