| NPI | 1407502420 |
|---|---|
| Former Name | CELESTE RENEE ETHINGTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 6072992-3102) |
| Enumeration Date | 2022-02-28 |
| Last Update Date | 2022-02-28 |