| NPI | 1245014299 |
|---|---|
| Former Name | LATASHA DEREE HARDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NC 5018669) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: NC HINE-3CL25) |
| Enumeration Date | 2023-08-22 |
| Last Update Date | 2023-11-27 |