| NPI | 1912067034 |
|---|---|
| Former Name | SHANNON OCZKOWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 059741-23) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NH 059741-21) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2019-05-24 |