| NPI | 1528449345 |
|---|---|
| Former Name | SHALAN STAVENAU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SC0200X Clinical Nurse Specialist Critical Care Medicine (Licence: MO 2012022372) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2015-06-23 |