| NPI | 1275506487 |
|---|---|
| Professional Name | SHANNON MICHELE VANDERPAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Licence: VA FL8368676) |
| Additional Taxonomies | 171000000X Military Health Care Provider (Licence: VA 0101236989) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: VA 0101236989) | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: VA 0101236989) | |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2023-10-17 |