NPI | 1912223579 |
---|---|
Former Name | ANESTRA LATSHA HALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: AZ RN214132) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 398815) |
Enumeration Date | 2010-04-07 |
Last Update Date | 2025-04-23 |