NPI | 1972553014 |
---|---|
Former Name | HILARY FAE ISENHOUR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: UT 190665-4405) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: UT 190665-4405) |
363LA2200X Nurse Practitioner, Adult Health (Licence: UT 190665-4405) | |
Enumeration Date | 2006-05-11 |
Last Update Date | 2013-12-16 |