| 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 |