| NPI | 1316314826 |
|---|---|
| Other Name | COLLEEN CLARE SHAUGHNESSY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95007371) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC SURM-JDRZIZ) |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2017-10-16 |