NPI | 1053911859 |
---|---|
Former Name | AMBER MARIE BOWMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1017815) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: TX 1017815) |
Enumeration Date | 2020-10-29 |
Last Update Date | 2023-06-06 |