| NPI | 1275856114 |
|---|---|
| Former Name | JANIS AVEYARD DEESE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 585807) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP105787) |
| Enumeration Date | 2010-03-07 |
| Last Update Date | 2024-05-14 |