| NPI | 1497802516 |
|---|---|
| Other Name | CONSUELA DENISE WITHERSPOON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP115509) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 682737) |
| 363L00000X Nurse Practitioner (Licence: TX AP115509) | |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2024-01-22 |