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 |