| NPI | 1699137497 |
|---|---|
| Former Name | SHAUNA COLLINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35136179) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 57.028460) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2020-03-09 |