| NPI | 1639307895 |
|---|---|
| Former Name | SHANICKA N WILLIAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA A144347) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A144347) |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2024-11-21 |