Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | AP135403 | TX |
NPI | 1013427541 |
---|---|
Provider Name | Sheri Lynn Sowa |
First Address | San Antonio, TX 78248-0988 |
Second Address | San Antonio, TX 78248-0988 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2017 |
Last Update Date | 11/10/2017 |