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 |