NPI | 1033792841 |
---|---|
Former Name | SHANA LYNN MONINGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: IN PENDING) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28188425A) |
Enumeration Date | 2021-04-29 |
Last Update Date | 2021-07-15 |