NPI | 1861856577 |
---|---|
Former Name | LATOYA SHANT'E KEARNEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024173438) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024173438) |
Enumeration Date | 2016-04-08 |
Last Update Date | 2025-03-06 |