| NPI | 1811661689 |
|---|---|
| Former Name | SHANNON CLAIRE ROSE UMANITA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: MA RN2276968) |
| Enumeration Date | 2021-08-05 |
| Last Update Date | 2021-08-05 |