| NPI | 1982978904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY LOUISE HOFFMAN Owner 8085-534-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: HI 865) |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2015-01-14 |