| NPI | 1326012246 |
|---|---|
| Former Name | SHANNON ODONNELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OH RD800228) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH LD3367) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2007-07-08 |