| NPI | 1154985935 |
|---|---|
| Former Name | SHANNON ALISON STOKLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246RM2200X Technician, Pathology, Medical Laboratory (Licence: AL 263269) |
| Enumeration Date | 2019-04-26 |
| Last Update Date | 2019-04-26 |