| NPI | 1063091353 |
|---|---|
| Former Name | SHANNON MARIE LOWRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 557914) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 104032) |
| Enumeration Date | 2021-04-05 |
| Last Update Date | 2021-09-23 |