NPI | 1649810748 |
---|---|
Former Name | CATRINA PARKER SPOONER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1137135) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 210778) |
Enumeration Date | 2020-01-07 |
Last Update Date | 2024-06-28 |