| 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 |