| NPI | 1801780291 |
|---|---|
| Former Name | SHAYENE LATREECE GARDNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.551445) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN.180849.MEDS-IV) |
| Enumeration Date | 2025-06-09 |
| Last Update Date | 2026-01-15 |