NPI | 1861143828 |
---|---|
Former Name | TANIKA SHAKITA JACKSON-RICHMOND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WC1600X Registered Nurse, Continuing Education/Staff Development (Licence: FL RN9350602) |
Enumeration Date | 2022-01-11 |
Last Update Date | 2022-01-11 |