| NPI | 1598047730 |
|---|---|
| Former Name | SHAWNA M POULNOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN113194) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN113194) |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2025-03-21 |