NPI | 1346528601 |
---|---|
Former Name | LATOYA MONITA SLATER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0904014642) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2011-08-03 |
Last Update Date | 2025-04-15 |