NPI | 1144228198 |
---|---|
Former Name | PATRICIA ANNE VALLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP111039) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 564579) |
Enumeration Date | 2005-07-13 |
Last Update Date | 2025-01-01 |