NPI | 1073015293 |
---|---|
Former Name | KATHLEEN WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP135169) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP135169) |
Enumeration Date | 2018-03-03 |
Last Update Date | 2022-01-27 |