| NPI | 1669036653 |
|---|---|
| Former Name | AISHA WALCOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CT 079511) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: CT 079511) |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2022-01-18 |