| NPI | 1750764551 |
|---|---|
| Former Name | TONITA SHAUNTA BATES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP128248 /RN 796065) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2024-11-13 |