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 |