| NPI | 1881708618 |
|---|---|
| Former Name | SHANNON CHAPPABITTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA0400X Registered Nurse Addiction (Substance Use Disorder) (Licence: CO 163680) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2007-07-08 |