| NPI | 1285255687 |
|---|---|
| Former Name | SHANNON DANIELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835N1003X Pharmacist, Nutrition Support (Licence: TN 13212) |
| Additional Taxonomies | 1835N1003X Pharmacist, Nutrition Support (Licence: GA RPH021682) |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2020-04-27 |