| NPI | 1366048498 |
|---|---|
| Former Name | LOWANNA FAUSETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1002644) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX 1002644) |
| Enumeration Date | 2020-12-04 |
| Last Update Date | 2021-12-07 |