NPI | 1689096976 |
---|---|
Former Name | SHEREE KING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TX AP125029) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP125029) |
Enumeration Date | 2014-01-06 |
Last Update Date | 2021-05-07 |