| NPI | 1902341084 |
|---|---|
| Professional Name | EBONY CAVANAUGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP132893) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP132893) |
| Enumeration Date | 2016-12-28 |
| Last Update Date | 2022-08-10 |