NPI | 1568804987 |
---|---|
Former Name | NEDRA LACHELLE SPEIGHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA RN131505) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN131505) |
363LG0600X Nurse Practitioner, Gerontology (Licence: GA RN131505) | |
Enumeration Date | 2013-07-26 |
Last Update Date | 2014-08-19 |