NPI | 1093062515 |
---|---|
Former Name | JESSICA LUKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP122124) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 735503) |
Enumeration Date | 2012-08-14 |
Last Update Date | 2021-04-07 |