| NPI | 1417613845 |
|---|---|
| Former Name | LATASHA RENEE HART |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NJ 26NJ01153300) |
| Enumeration Date | 2021-11-10 |
| Last Update Date | 2022-06-01 |