NPI | 1427000280 |
---|---|
Former Name | MEG SHANNON-STONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 77437) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 77437) |
Enumeration Date | 2006-05-17 |
Last Update Date | 2014-10-01 |