| NPI | 1124565031 |
|---|---|
| Former Name | SHANNON EILEEN KATILUS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9336257) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: FL ARNP9336257) | |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2017-04-20 |