NPI | 1811486244 |
---|---|
Former Name | LASASSHA ALEXANDRIA SCOTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA RN285857) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 223275) |
363L00000X Nurse Practitioner (Licence: GA 285857) | |
163W00000X Registered Nurse (Licence: GA 285857) | |
Enumeration Date | 2018-05-01 |
Last Update Date | 2024-08-06 |