Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | AP143938 | TX |
NPI | 1003451295 |
---|---|
Provider Name | Samantha Rufaro Makina |
First Address | Mckinney, TX 75072-5959 |
Second Address | Mckinney, TX 75072-5959 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/11/2019 |
Last Update Date | 11/11/2019 |