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 |