| NPI | 1730723859 |
|---|---|
| Former Name | KATY MARIE BEWLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP143241) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 758063) |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2024-02-17 |