NPI | 1447037395 |
---|---|
Former Name | SHANNON PIERNE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11028274) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11028274) |
Enumeration Date | 2023-09-13 |
Last Update Date | 2024-02-07 |