NPI | 1932648995 |
---|---|
Former Name | DEON DEWAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9255694) |
Additional Taxonomies | 261Q00000X Clinic/Center (Licence: FL arnp-9255694) |
Enumeration Date | 2017-02-22 |
Last Update Date | 2020-11-24 |