| NPI | 1114206349 |
|---|---|
| Former Name | SHANIQUE RENEE RUBENS-WELCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704252025) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704252025) |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2021-06-21 |