| NPI | 1518243542 |
|---|---|
| Former Name | VIVIAN STEPHANIE SHA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 21473) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 804785) |
| Enumeration Date | 2011-10-21 |
| Last Update Date | 2016-09-01 |