NPI | 1871991430 |
---|---|
Former Name | DOROTHY YVONNE HOOTEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK M0137300) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP127110) |
Enumeration Date | 2014-12-15 |
Last Update Date | 2024-11-19 |