| NPI | 1245769223 |
|---|---|
| Former Name | KACI MARIE WEBB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX S6771) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: TX S6771) |
| 207Q00000X Family Medicine (Licence: TX BP10059434) | |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2023-04-05 |