NPI | 1689013641 |
---|---|
Other Name | SHANA DAWN BREWER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 202214) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 202214) |
Enumeration Date | 2013-06-22 |
Last Update Date | 2024-01-22 |