| NPI | 1295886588 |
|---|---|
| Former Name | COILLE A SHANER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MT 8110) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NE 613) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2019-11-06 |