| NPI | 1982955159 |
|---|---|
| Former Name | LISA ROSE HOFFARTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND R34505) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ND R34505) |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2021-06-15 |