NPI | 1881427268 |
---|---|
Former Name | SHAWNA BROOKE SNIDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 115826) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 88811) |
Enumeration Date | 2024-08-21 |
Last Update Date | 2025-03-11 |