| NPI | 1689195174 |
|---|---|
| Former Name | JOSHUNDA LATIECE CARSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 904569) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-142177) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP134358) | |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2022-11-21 |