| NPI | 1649636853 |
|---|---|
| Former Name | CORTNEY SHUMWAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MI 4704271709) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: HI 2529) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: MO 2015039036) | |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2021-07-21 |