NPI | 1093415358 |
---|---|
Former Name | CATHERINE CELESTIAL COWART |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1094082) |
Enumeration Date | 2023-03-06 |
Last Update Date | 2023-03-06 |