| NPI | 1154883346 |
|---|---|
| Former Name | SHAINA RAE ARCHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 6522) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 6522) |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2023-10-23 |