| NPI | 1740767359 |
|---|---|
| Former Name | SHANNON COPELAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: NJ 25ME00064601) |
| Additional Taxonomies | 176B00000X Midwife (Licence: PA MW010661) |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2023-07-13 |