| NPI | 1194704403 |
|---|---|
| Former Name | SHAWN RENEE LUCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3003115) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3003115) |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2020-10-26 |