| NPI | 1639166499 |
|---|---|
| Former Name | SHANNON L CLINK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 60090) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OK 60090) |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2016-02-05 |