NPI | 1508482332 |
---|---|
Former Name | SHANNON LEIGH MARSHALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: WA AP60826384) |
Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: WA AP60826384) |
Enumeration Date | 2020-06-17 |
Last Update Date | 2022-03-09 |