| NPI | 1790204758 |
|---|---|
| Former Name | DEVON SHEA GRIFFIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95007011) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95007011) |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2018-01-03 |