| NPI | 1710122353 |
|---|---|
| Former Name | SHANNON ANGEL BAILEY-CHARLTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TN RN167805) |
| Enumeration Date | 2008-12-11 |
| Last Update Date | 2009-08-28 |