NPI | 1801439286 |
---|---|
Former Name | SELIMA MARIE BARLOW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP143098) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 880426) |
Enumeration Date | 2019-10-18 |
Last Update Date | 2022-04-26 |