| NPI | 1043774060 |
|---|---|
| Former Name | KESHA LADAWN ROSAMOND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174H00000X Health Educator |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2019-01-23 |