Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 444420 | TX |
NPI | 1013207844 |
---|---|
Provider Name | Sheila Ann Pu Weekly |
First Address | Austin, TX 78754-5232 |
Second Address | Austin, TX 78723-2900 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2011 |
Last Update Date | 13/04/2011 |