NPI | 1497113948 |
---|---|
Former Name | JENNIFER FAYE FLOWERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP130132) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 669224) |
Enumeration Date | 2016-01-28 |
Last Update Date | 2024-01-10 |