| NPI | 1497071658 |
|---|---|
| Former Name | TESHAMA NICHOLE BOUIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: WA RN60174365) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 200942602RN) |
| 163W00000X Registered Nurse (Licence: FL RN 9291520) | |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2024-10-02 |