NPI | 1114552916 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE KATHERINE ROWTON Owner, CEO 469-631-0023 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care |
Enumeration Date | 2020-03-12 |
Last Update Date | 2020-09-03 |