NPI | 1699242909 |
---|---|
Former Name | JACQLYN CATHERINE ANN PAHSSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: TX AP139395) |
Enumeration Date | 2018-10-25 |
Last Update Date | 2023-10-10 |