NPI | 1417395385 |
---|---|
Former Name | SHANNON LEE MURCHISON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: WA AP60386228) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60386228) |
363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: WA AP60386228) | |
Enumeration Date | 2013-06-12 |
Last Update Date | 2013-06-12 |