| NPI | 1972247401 |
|---|---|
| Former Name | SHAUNA M BARRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 041485032) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209.025741) |
| Enumeration Date | 2022-04-21 |
| Last Update Date | 2022-10-14 |