NPI | 1154668598 |
---|---|
Former Name | SHANNON THOMPSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CO DR.0066523) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: UT 10734422-1205) |
Enumeration Date | 2013-01-04 |
Last Update Date | 2021-09-22 |