NPI | 1962985903 |
---|---|
Former Name | BOBBIE JO CUTCHEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP138096) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP138096) |
163W00000X Registered Nurse (Licence: TX 830038) | |
Enumeration Date | 2018-09-14 |
Last Update Date | 2019-10-22 |