NPI | 1043654577 |
---|---|
Former Name | REBECCA JEANNE SHERRILL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP123430) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 691809) |
Enumeration Date | 2013-04-26 |
Last Update Date | 2021-04-13 |