| 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 |