| NPI | 1093903270 |
|---|---|
| Former Name | SHANA S PESCHON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 620562) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM 85787) |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2025-09-09 |