NPI | 1831636224 |
---|---|
Former Name | SHANNON MCLAUGHLIN-CARVAJAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN227766) |
Enumeration Date | 2017-01-24 |
Last Update Date | 2020-06-25 |