| NPI | 1245263805 |
|---|---|
| Former Name | KEENA JOY ENNIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: TX 741808) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP115959) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2023-03-07 |