Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | 689496 | TX |
NPI | 1164724605 |
---|---|
Provider Name | Michelle Katherine Rowton |
First Address | Melissa, TX 75454-2852 |
Second Address | Melissa, TX 75454-2852 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/12/2010 |
Last Update Date | 11/08/2011 |