| NPI | 1790412617 |
|---|---|
| Other Name | SHAWNIE WILDE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 172A00000X Driver |
| Enumeration Date | 2022-08-02 |
| Last Update Date | 2025-03-10 |