| NPI | 1831754563 |
|---|---|
| Other Name | CHRISSY DIFFENDERFFER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R210124) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD F04190682) |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2021-01-22 |