| NPI | 1912353954 |
|---|---|
| Former Name | LEATRICE SHAVONNE PINES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: TX AP135810) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: LA AP07077) |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2025-10-24 |