| NPI | 1649540758 |
|---|---|
| Former Name | CHANUVETTE WILLIAMS SPIKES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 718152) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: TX 718152) |
| 163WX1500X Registered Nurse, Ostomy Care (Licence: TX 718152) | |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2021-10-26 |