| NPI | 1003306945 |
|---|---|
| Former Name | SHANNON RAE MARKHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 649819) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA 649819) |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2019-04-04 |