NPI | 1639505902 |
---|---|
Former Name | DONA JEAN BIAZO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP124109) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 687994) |
Enumeration Date | 2013-09-18 |
Last Update Date | 2024-02-05 |