| NPI | 1346754694 |
|---|---|
| Former Name | SHANNON ADELE YOUNGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95007078) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95007078) |
| Enumeration Date | 2017-11-23 |
| Last Update Date | 2017-11-23 |