| NPI | 1255352159 |
|---|---|
| Former Name | SHANI FOURMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11012248) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP010408) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2021-11-16 |