| NPI | 1447821509 |
|---|---|
| Former Name | SHANEIKA L LASSITER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5019078) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11014175) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11014175) | |
| Enumeration Date | 2021-07-08 |
| Last Update Date | 2024-02-16 |