| NPI | 1417503624 |
|---|---|
| Former Name | KAMILAH JEWEL LYON/ BROWN /GILLIAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP142464) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: TX AP142464) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP142464) | |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2022-08-23 |