| NPI | 1417298084 |
|---|---|
| Former Name | SHANA RUTKOWSKI EVANS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.021374) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AL 1-126404) |
| Enumeration Date | 2013-03-07 |
| Last Update Date | 2018-03-21 |