| NPI | 1609269893 |
|---|---|
| Former Name | SHAINA E WANKUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XN1300X Occupational Therapist, Neurorehabilitation (Licence: NV 11-0147) |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2015-03-11 |