| NPI | 1376837567 |
|---|---|
| Former Name | SHANA KORINNE DICARLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 88336) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 198590) |
| Enumeration Date | 2011-06-05 |
| Last Update Date | 2018-03-17 |