NPI | 1467557710 |
---|---|
Former Name | RHONDA YATES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1001995) |
Additional Taxonomies | 101Y00000X Counselor (Licence: TX 18095) |
Enumeration Date | 2006-09-13 |
Last Update Date | 2020-07-01 |