| NPI | 1386480473 |
|---|---|
| Former Name | SHANNAN LEA WILLMAN-NEEDLEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1168185) |
| Enumeration Date | 2024-07-08 |
| Last Update Date | 2024-07-08 |