| NPI | 1124438759 |
|---|---|
| Former Name | SHANNON DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: SC 82202) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC DO034666) |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2019-08-29 |