Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | AP123366 | TX |
NPI | 1043654932 |
---|---|
Provider Name | Kathryn Leilani Ackerman |
First Address | Houston, TX 77054-1920 |
Second Address | Houston, TX 77054-1920 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/04/2013 |
Last Update Date | 31/08/2021 |