| NPI | 1750779617 |
|---|---|
| Former Name | SHANEL DEKENA SOLEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5015376) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP7664) |
| 363LF0000X Nurse Practitioner, Family (Licence: UT 7017694-4405) | |
| Enumeration Date | 2014-12-30 |
| Last Update Date | 2022-01-03 |