Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 145657 | TX |
NPI | 1376140756 |
---|---|
Provider Name | Sandisiwe Ndlovu |
First Address | Houston, TX 77095-4389 |
Second Address | Houston, TX 77030-2351 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/10/2020 |
Last Update Date | 08/10/2020 |