| NPI | 1104148824 |
|---|---|
| Former Name | SHAWNA NOEL SPRATT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: SC 3362) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: NM DH2716) |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2010-02-22 |