NPI | 1801288212 |
---|---|
Former Name | KATIE TOWSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP121036) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 693525) |
Enumeration Date | 2015-02-22 |
Last Update Date | 2025-05-12 |