NPI | 1851915367 |
---|---|
Former Name | KAYEETA VERNETTA SAULS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX F05200254) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TX 146169) |
Enumeration Date | 2020-06-01 |
Last Update Date | 2024-10-03 |