NPI | 1861457855 |
---|---|
Other Name | SHAYNE MONSON |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8097) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ AZ 7237) |
Enumeration Date | 2006-04-20 |
Last Update Date | 2016-10-26 |