NPI | 1265972319 |
---|---|
Former Name | SHAWNA MARIE STEELE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 307248) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 307248) |
Enumeration Date | 2017-03-07 |
Last Update Date | 2017-03-07 |