Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP2300X | Nurse Practitioner - Primary Care | AP140086 | TX |
NPI | 1023585759 |
---|---|
Provider Name | Ms. Victoria Aladi Salau |
First Address | Frisco, TX 75033-7438 |
Second Address | Frisco, TX 75035-5379 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2018 |
Last Update Date | 12/11/2019 |