NPI | 1265931232 |
---|---|
Former Name | NANCY ELLEN KENDERDINE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: TX AP134257) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP134257) |
363LF0000X Nurse Practitioner Family (Licence: TX AP134257) | |
363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: TX AP134257) | |
Enumeration Date | 2018-02-06 |
Last Update Date | 2020-08-24 |