| NPI | 1780175356 |
|---|---|
| Former Name | SHANNON HAUSER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 95011453) |
| Enumeration Date | 2018-05-19 |
| Last Update Date | 2020-04-08 |