| NPI | 1992477897 |
|---|---|
| Former Name | SHAVON HARSHAW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: IL 238-000744) |
| Enumeration Date | 2021-09-29 |
| Last Update Date | 2026-06-11 |