| NPI | 1861538563 |
|---|---|
| Former Name | SHANNON ILENE MCWATERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 3281) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 83980) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2022-02-25 |