| NPI | 1053945469 |
|---|---|
| Former Name | SHANTAL RAMOS GUIRAO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61063132) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 60505437) |
| Enumeration Date | 2020-02-24 |
| Last Update Date | 2021-08-26 |