| NPI | 1831714245 |
|---|---|
| Former Name | SHEA MACKENZIE BONINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 170300000X Genetic Counselor, MS (Licence: MN 1408) |
| Additional Taxonomies | 170300000X Genetic Counselor, MS |
| 170300000X Genetic Counselor, MS (Licence: WI 1478-61) | |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2024-08-28 |