| NPI | 1689083750 |
|---|---|
| Former Name | BISONA YEBA TITALANGA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP126077) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3011151) |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2019-08-09 |