NPI | 1649896853 |
---|---|
Former Name | KELSEY MARIE DENT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP145717) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 777135) |
363LF0000X Nurse Practitioner, Family (Licence: FL APRN11013851) | |
Enumeration Date | 2020-06-23 |
Last Update Date | 2024-03-21 |