NPI | 1083126106 |
---|---|
Former Name | SHANNON ELIZABETH MCGEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 3427) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: TN 3427) |
Enumeration Date | 2017-10-30 |
Last Update Date | 2025-02-10 |