| NPI | 1760569065 |
|---|---|
| Former Name | SHANA KAYE COLLINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71002280A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28133612A) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2023-11-27 |