NPI | 1841303856 |
---|---|
Former Name | SHANA L BURTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60052156) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 200141902RN) |
363LW0102X Nurse Practitioner, Women's Health (Licence: OR 200250004NP) | |
163W00000X Registered Nurse (Licence: WA RN00175004) | |
Enumeration Date | 2006-08-16 |
Last Update Date | 2016-02-01 |