NPI | 1912314287 |
---|---|
Former Name | SHAWNA WINANS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95020484) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: OH 354698) |
163WP0200X Registered Nurse, Pediatrics (Licence: CA 825249) | |
Enumeration Date | 2014-07-17 |
Last Update Date | 2023-01-19 |