| NPI | 1427043496 |
|---|---|
| Former Name | SHAUNA L WALPOLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP1734) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ RN088438) |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2008-05-22 |