NPI | 1811306764 |
---|---|
Former Name | DINA MARIE MASTEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP126058) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP126058) |
Enumeration Date | 2014-08-05 |
Last Update Date | 2024-04-16 |