| NPI | 1114699287 |
|---|---|
| Former Name | SHANA HOWERTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID 70200) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID 44855) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID 70200) | |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2023-11-21 |