NPI | 1053815274 |
---|---|
Former Name | SHANNON ELIZABETH MICHEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080H0002X (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 (Licence: OH 35144996) | |
Enumeration Date | 2018-03-21 |
Last Update Date | 2023-11-20 |