| NPI | 1477992659 |
|---|---|
| Former Name | MINDY LYNN SHOOK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 729961) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP123824) |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2025-10-07 |