| NPI | 1669807335 |
|---|---|
| Former Name | DEONDRA WHEELER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 19979) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: AL 1-126420) |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2016-06-02 |