NPI | 1740910934 |
---|---|
Other Name | SYDNEY NICOLE SHADOWENS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 31887) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000227268) |
Enumeration Date | 2022-06-13 |
Last Update Date | 2024-07-22 |