| NPI | 1487100566 |
|---|---|
| Former Name | DEAXTRA HUNT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA GAA-NP000016) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024173381) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NC 5009520) | |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2021-12-06 |