| NPI | 1518581339 |
|---|---|
| Former Name | ALLISON ANN SHAW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: DC RN1058839) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1058839) |
| 163W00000X Registered Nurse (Licence: VA 0001296940) | |
| 163WP0200X Registered Nurse, Pediatrics (Licence: CT 153287) | |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2023-04-06 |