NPI | 1275849093 |
---|---|
Former Name | SHANNON L SAVAGE-SANFORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: TX 604376) |
Enumeration Date | 2010-08-31 |
Last Update Date | 2021-04-19 |