NPI | 1841263837 |
---|---|
Former Name | BETTE NELSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1096801) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SD 0255) |
363LF0000X Nurse Practitioner, Family (Licence: SD CP000255) | |
Enumeration Date | 2006-02-09 |
Last Update Date | 2022-10-21 |