NPI | 1932881059 |
---|---|
Former Name | JENNIFER BROOKS OURAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1124700) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1124700) |
Enumeration Date | 2023-08-07 |
Last Update Date | 2024-09-18 |