| NPI | 1598050148 |
|---|---|
| Former Name | CURRISSA LATRICE PRUITT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P7058) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01069748A) |
| Enumeration Date | 2011-06-11 |
| Last Update Date | 2019-10-28 |