NPI | 1801311865 |
---|---|
Professional Name | JENNA M BULLER NOFZIGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60781225) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60392632) |
Enumeration Date | 2017-08-10 |
Last Update Date | 2017-09-14 |