| NPI | 1346875325 |
|---|---|
| Former Name | SHALESE MARIE CONNARY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 9012696-4405) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: UT 9012696-3102) |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2020-03-21 |