| NPI | 1386146785 |
|---|---|
| Former Name | KAWANA SHANTA HARDIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA AP09852) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA AP09852) |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2023-09-14 |