NPI | 1265753503 |
---|---|
Former Name | RANISHA RONNAE HARWELL-SPILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1106515) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 157903-30) |
Enumeration Date | 2010-06-22 |
Last Update Date | 2023-10-12 |