| NPI | 1235883497 |
|---|---|
| Former Name | JENNIFER REBECCA SHAW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator (Licence: WA 00119088) |
| Enumeration Date | 2022-02-07 |
| Last Update Date | 2022-02-07 |