| NPI | 1265140032 |
|---|---|
| Former Name | CECELIA WITCHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1106480) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 782700) |
| Enumeration Date | 2022-11-10 |
| Last Update Date | 2023-01-11 |