| NPI | 1275970568 |
|---|---|
| Former Name | SHANA MARIE NORRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NE 29315) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 6932) |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2022-07-21 |