NPI | 1598039810 |
---|---|
Former Name | SHONDA MARIE YOCHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TX 693700) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 693700) |
Enumeration Date | 2012-03-05 |
Last Update Date | 2021-05-05 |