NPI | 1063134997 |
---|---|
Former Name | ABIGAIL LOVE HOUSTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN316206) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP001042) |
Enumeration Date | 2022-09-16 |
Last Update Date | 2024-07-01 |