| NPI | 1285001867 |
|---|---|
| Former Name | SHAUNA LEIGH GARDINO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209013135) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 209.013135) |
| Enumeration Date | 2015-08-30 |
| Last Update Date | 2024-01-17 |