| NPI | 1669880902 |
|---|---|
| Former Name | LATOYA NICHOLE SANDERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704261258) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704261258) |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2024-11-18 |