| NPI | 1497001929 |
|---|---|
| Former Name | SHANA RAE ZAWACKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA 60929733) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 644500-1) |
| Enumeration Date | 2012-08-02 |
| Last Update Date | 2022-01-20 |