| NPI | 1538576137 |
|---|---|
| Former Name | DAWN MARIE SHANK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP013955) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP013955) |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2021-06-21 |