| NPI | 1952752529 |
|---|---|
| Former Name | SE'QUANA SHONTAY WELCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: FL ARNP9293147) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: FL ARNP9293147) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: FL ARNP9293147) | |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2017-04-01 |