| NPI | 1477861789 |
|---|---|
| Former Name | SHANTEE LATRICE WEBB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 907561) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 301064-1) |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2024-09-06 |