| NPI | 1336678192 |
|---|---|
| Former Name | LATOYIA CHERDISE WEBSTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71007215A) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner Community Health (Licence: IN F0117016) |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2022-10-31 |