| NPI | 1184329377 |
|---|---|
| Former Name | SHANA DEPONS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 13842-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI F03230583) |
| Enumeration Date | 2023-04-05 |
| Last Update Date | 2024-05-01 |