NPI | 1336121755 |
---|---|
Former Name | BRENDA LEE HOSKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G087279) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: IA J-087279) |
Enumeration Date | 2005-11-20 |
Last Update Date | 2024-08-13 |