NPI | 1043730377 |
---|---|
Other Name | MONIK JEFFERSON SHIELDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95009239) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 713626) |
Enumeration Date | 2017-06-27 |
Last Update Date | 2021-10-24 |