| NPI | 1720422934 |
|---|---|
| Former Name | SHANNON K RICHMOND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95006341) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 9506341) |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2023-11-13 |