| NPI | 1992166409 |
|---|---|
| Former Name | SHAWNA JO KRISTEN BLUME |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP 9344428) |
| Enumeration Date | 2016-03-10 |
| Last Update Date | 2020-02-10 |