| NPI | 1861045049 |
|---|---|
| Former Name | SHAUNA RAENELL HERBER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO RN.1663084) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 756553) |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2019-07-17 |