| NPI | 1811094410 |
|---|---|
| Professional Name | JENNIFER L SHANE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT E57729) |
| Enumeration Date | 2006-09-19 |
| Last Update Date | 2007-07-08 |