| NPI | 1710374731 |
|---|---|
| Former Name | SCHNESE TANEL BODDIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 129062) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN165424) |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2023-03-30 |