NPI | 1528138690 |
---|---|
Former Name | AMY HOYT POPE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX F0206166) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 612783) |
Enumeration Date | 2006-11-08 |
Last Update Date | 2011-03-25 |