NPI | 1487162038 |
---|---|
Former Name | CAYCE GIBSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP135831) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 815397) |
Enumeration Date | 2018-01-17 |
Last Update Date | 2020-08-04 |