NPI | 1790232650 |
---|---|
Former Name | JESSICA MARIE HOFFMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO APN.0993935-NP) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.019840) |
163W00000X Registered Nurse (Licence: CO RN.1655151) | |
Enumeration Date | 2016-09-07 |
Last Update Date | 2018-09-10 |