NPI | 1548281801 |
---|---|
Former Name | BARBARA LYNN KALLENBACH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP115786) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 738831) |
Enumeration Date | 2006-07-22 |
Last Update Date | 2021-10-18 |