| NPI | 1144452848 |
|---|---|
| Former Name | SHANNON LEI MARSHAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK 69109) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OK 0069109) |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2021-05-04 |