NPI | 1801342175 |
---|---|
Former Name | KENDRA ANN FOSTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP131579) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 697226) |
Enumeration Date | 2016-08-28 |
Last Update Date | 2022-01-27 |