NPI | 1316310600 |
---|---|
Former Name | BLAIR OWENS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP128958) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024182528) |
363LF0000X Nurse Practitioner, Family (Licence: OR 201508620NP-PP) | |
Enumeration Date | 2015-11-09 |
Last Update Date | 2022-02-14 |