| NPI | 1205421427 |
|---|---|
| Former Name | SHANNON MANNING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AL 1-137654) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: FL APRN11012182) |
| Enumeration Date | 2021-03-09 |
| Last Update Date | 2025-02-24 |