NPI | 1033720677 |
---|---|
Former Name | JONIE ENGERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1012020) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 210237) |
Enumeration Date | 2020-08-16 |
Last Update Date | 2025-07-16 |