NPI | 1902190416 |
---|---|
Former Name | SHANNON MARIE ZAMBRICKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5012042) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5012042) |
Enumeration Date | 2011-06-01 |
Last Update Date | 2024-11-26 |