| NPI | 1316407554 |
|---|---|
| Former Name | DEANNJANAE NUKIYAH HERLONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1191905) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-158305) |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2025-07-03 |