| NPI | 1730697517 |
|---|---|
| Former Name | SHANNON MICHELLE CAPROON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3011823) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3011823) |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2023-11-09 |