| NPI | 1083968440 |
|---|---|
| Former Name | SHANNON CASTELLI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 20084) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP012439) |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2016-03-28 |