NPI | 1609995612 |
---|---|
Former Name | TERESA MAY HOLCOMBE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP112436) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP4965) |
363LF0000X Nurse Practitioner, Family (Licence: NM CNP-01562) | |
Enumeration Date | 2007-03-29 |
Last Update Date | 2023-11-08 |