NPI | 1639503857 |
---|---|
Former Name | JASMINE LASHAE SLATER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704334151) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MI 4703111210) |
Enumeration Date | 2013-08-23 |
Last Update Date | 2020-11-02 |