| NPI | 1972853208 |
|---|---|
| Former Name | SHANNON SLAGTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN CNP3193) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN R1789773) |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2023-03-27 |