| NPI | 1104925494 |
|---|---|
| Other Name | SHANNON HERD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO DR.0036504) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 051761) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2021-04-20 |