| NPI | 1255968954 |
|---|---|
| Former Name | SHANNON ENLOE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ID 64423) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: AL 1-166204) |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2020-06-02 |