| NPI | 1659882736 |
|---|---|
| Former Name | SHANNON ROSE SAUNDERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IL 277002213) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IL 209016553) |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2023-06-29 |