NPI | 1144251422 |
---|---|
Professional Name | SHANNON KRISTINE RANDLEMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 20085013NP) |
Enumeration Date | 2006-07-05 |
Last Update Date | 2023-10-05 |