| NPI | 1740025295 |
|---|---|
| Former Name | SHAWNTE WALLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 372600000X Adult Companion |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2024-06-26 |
| Last Update Date | 2024-06-26 |