| 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 |