| NPI | 1285771097 |
|---|---|
| Former Name | SHAUNA MARIE DILLARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 176B00000X Midwife (Licence: CO 00000181) |
| Additional Taxonomies | 175M00000X Midwife, Lay (Licence: CA LM 246) |
| 176B00000X Midwife (Licence: VT 107-0000036) | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2022-05-10 |