| NPI | 1437615523 |
|---|---|
| Former Name | LASTACIA BUSH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11022488) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: FL 9374281) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: FL 9374281) | |
| 163W00000X Registered Nurse (Licence: FL 9374281) | |
| 163WR0400X Registered Nurse, Rehabilitation (Licence: FL 9374281) | |
| 163WW0000X Registered Nurse, Wound Care (Licence: FL 9374281) | |
| 372600000X Adult Companion (Licence: FL 9374281) | |
| 373H00000X Day Training/Habilitation Specialist (Licence: FL 9374281) | |
| 374U00000X Home Health Aide (Licence: FL 9374281) | |
| 376K00000X Nurse's Aide (Licence: FL 9374281) | |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2022-11-16 |