| NPI | 1053815274 |
|---|---|
| Former Name | SHANNON ELIZABETH MICHEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080H0002X Pediatrics Hospice and Palliative Medicine (Licence: CT 74367) |
| Additional Taxonomies | 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: CT 74367) |
| 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: OH 35144996) | |
| 2080H0002X Pediatrics Hospice and Palliative Medicine (Licence: OH 35144996) | |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2023-11-20 |