| NPI | 1073978144 |
|---|---|
| Former Name | SHEILA CHAREE HALTOM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP128589) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 627947) |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2015-12-16 |