| NPI | 1659267011 |
|---|---|
| Former Name | SHENELL CAROLINE PATRIA BIRCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 15120) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 964168) |
| 163W00000X Registered Nurse (Licence: CT 224736) | |
| Enumeration Date | 2025-06-13 |
| Last Update Date | 2025-07-30 |