| NPI | 1528185154 |
|---|---|
| Former Name | NAKEISHA RACHELLE LANDRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: LA MD.025968) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036171364) |
| 174400000X Specialist (Licence: TX 512043) | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2024-09-19 |