| NPI | 1083634968 |
|---|---|
| Former Name | LATISHUA SHUNYET PAGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AR R80268) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AR L41634) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2010-01-25 |