| NPI | 1275159485 |
|---|---|
| Former Name | SHAYNA ECKOLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71010532) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71010532A) |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2024-03-07 |