| NPI | 1508278896 |
|---|---|
| Professional Name | SHIREEN V LONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 277000033) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209011591) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209011591) | |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2019-10-11 |