| NPI | 1124593249 |
|---|---|
| Former Name | MARGARET SHANNON WHITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ME 1907) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NH 1408) |
| 363A00000X Physician Assistant (Licence: ME 1903) | |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2021-11-01 |