NPI | 1447026471 |
---|---|
Former Name | TASHIA CHANTESE HALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MD R252616) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MD R252616) |
Enumeration Date | 2023-11-30 |
Last Update Date | 2023-11-30 |