| NPI | 1376796649 |
|---|---|
| Former Name | JASMINE LAREE NELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP118170) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60057911) |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2017-04-24 |