| NPI | 1063648467 |
|---|---|
| Former Name | SHANNON NICOLE LAPLANTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: KY PA1201) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: KY PA1201) |
| Enumeration Date | 2009-06-01 |
| Last Update Date | 2023-09-07 |