| NPI | 1023125424 |
|---|---|
| Former Name | SHANNA LEE HADLOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP30005616) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2007-07-08 |