NPI | 1235720079 |
---|---|
Former Name | LAKEISHA KEIYALE MILLS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 942547) |
Additional Taxonomies | 251B00000X Case Management |
163WC0400X Registered Nurse, Case Management (Licence: TX 942547) | |
Enumeration Date | 2021-02-02 |
Last Update Date | 2021-02-02 |