NPI | 1376925586 |
---|---|
Former Name | SHANNON DIANN PYLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1051781) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-012715) |
Enumeration Date | 2015-06-24 |
Last Update Date | 2023-05-23 |