| NPI | 1275934952 |
|---|---|
| Former Name | TYESHIA BOWEN STREUFERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-132967) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1129497) |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2023-09-27 |