NPI | 1992934335 |
---|---|
Former Name | KELLY NICOLE HOFFARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207YX0007X Otolaryngology Plastic Surgery within the Head & Neck (Licence: PA AT006126) |
Additional Taxonomies | 231H00000X Audiologist (Licence: PA AT006126) |
Enumeration Date | 2009-07-07 |
Last Update Date | 2013-12-09 |