NPI | 1134425986 |
---|---|
Former Name | KAMEKO D HAZLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9246434) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 827112) |
363L00000X Nurse Practitioner (Licence: TX AP122701) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP122701) | |
Enumeration Date | 2011-01-26 |
Last Update Date | 2022-09-28 |