| NPI | 1275934952 |
|---|---|
| Former Name | TYESHIA BOWEN STREUFERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11031380) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1129497) |
| 363L00000X Nurse Practitioner (Licence: AL 1-132967) | |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2025-04-23 |