NPI | 1043773831 |
---|---|
Former Name | BETTY JANE HUGGINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1033631) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 25870) |
Enumeration Date | 2019-04-09 |
Last Update Date | 2024-09-18 |