NPI | 1316259351 |
---|---|
Former Name | KESHA ELNA HARRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: PA PN282721) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN307672) |
Enumeration Date | 2010-07-07 |
Last Update Date | 2025-03-28 |