NPI | 1356657464 |
---|---|
Entity Type | Organization |
Authorized Contact | HENRIETTA VALAIR EVANS Sole Owner/Operator 832-879-2107 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
363LG0600X Nurse Practitioner, Gerontology | |
Enumeration Date | 2010-08-26 |
Last Update Date | 2024-05-14 |