Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP2300X | Nurse Practitioner - Primary Care | AP144868 | TX |
NPI | 1023642469 |
---|---|
Provider Name | Christine Munyabarenzi Rugambwa |
First Address | Frisco, TX 75035-6523 |
Second Address | Frisco, TX 75035-6523 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/02/2020 |
Last Update Date | 25/02/2020 |