| NPI | 1851933303 |
|---|---|
| Former Name | SHANEA MONIQUE STALLWORTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: GA RN223742) |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2025-11-11 |