| NPI | 1558110122 |
|---|---|
| Former Name | KANISHA NADDINE TROTMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 3453115) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: NY 787518-01) |
| Enumeration Date | 2024-05-16 |
| Last Update Date | 2025-09-29 |