| NPI | 1295120947 |
|---|---|
| Former Name | SHANNON KATINA SERLEMITSOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101281100) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D87560) |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2024-06-03 |