| NPI | 1083006522 |
|---|---|
| Former Name | SHANNON ELOISE REIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61369683) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60528267) |
| Enumeration Date | 2015-02-20 |
| Last Update Date | 2022-11-21 |