| NPI | 1407216112 |
|---|---|
| Former Name | SHAUNA NYBORG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: CA 95021497) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 845154) |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2024-04-30 |