NPI | 1821539370 |
---|---|
Former Name | SHRILDA ANN BAILEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP138674) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN087065) |
Enumeration Date | 2017-03-16 |
Last Update Date | 2018-10-04 |