NPI | 1154791135 |
---|---|
Former Name | SHAWNA EVANS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61266175) |
Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: WA RN00159507) |
Enumeration Date | 2015-10-02 |
Last Update Date | 2022-03-03 |