| NPI | 1205229465 |
|---|---|
| Former Name | SHEENA SERVANDO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95000701) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 43430892) |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2018-07-03 |