| NPI | 1386411478 |
|---|---|
| Former Name | ROSEMARIE ELLEN SHINAVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5019251) |
| Enumeration Date | 2023-12-07 |
| Last Update Date | 2023-12-28 |