| NPI | 1730519372 |
|---|---|
| Former Name | SHANNA GOT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: DE LP-0000310) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R197392) |
| 363L00000X Nurse Practitioner (Licence: DE LP-0000310) | |
| 363L00000X Nurse Practitioner (Licence: SC 18929) | |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2019-08-19 |