NPI | 1467189837 |
---|---|
Former Name | KELSEY ANN HAMM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1088290) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 856490) |
Enumeration Date | 2022-08-04 |
Last Update Date | 2023-05-17 |