| NPI | 1174816847 |
|---|---|
| Former Name | SHAUNA ASHLEY MIKEC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 001002861) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 0010-02861) |
| Enumeration Date | 2011-05-27 |
| Last Update Date | 2020-10-25 |