| NPI | 1689870438 |
|---|---|
| Former Name | DEENA ILEEN PREVOST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP115834) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 561587) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2024-09-03 |