| NPI | 1356094650 |
|---|---|
| Former Name | SHAWN BROADHURST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209024852) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: MO 2010023146) |
| 163WE0003X Registered Nurse, Emergency (Licence: WI 249192) | |
| 163WE0003X Registered Nurse, Emergency (Licence: IL 041471170) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2022006057) | |
| Enumeration Date | 2022-01-27 |
| Last Update Date | 2022-06-09 |