| NPI | 1932332939 |
|---|---|
| Former Name | SHONNA OLIVIA THARP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 174231) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 744863) |
| 363L00000X Nurse Practitioner (Licence: SC 3990) | |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2021-03-09 |