| NPI | 1134527690 |
|---|---|
| Former Name | SHANNON BROUMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95010200) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA.18791-NP) |
| 163W00000X Registered Nurse (Licence: CA 766408) | |
| Enumeration Date | 2014-12-16 |
| Last Update Date | 2025-07-11 |