| NPI | 1760150239 |
|---|---|
| Former Name | JESTINE MARKS BRASWELL BAXTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AZ 248519) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2021-09-27 |