| NPI | 1609278365 |
|---|---|
| Former Name | SHANDRA BUCY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000018971) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000119808) |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2020-04-23 |