| NPI | 1386105955 |
|---|---|
| Former Name | DEANNA WILLIAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 140698) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 870403) |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2019-03-27 |