| NPI | 1326875253 |
|---|---|
| Former Name | MARY SHANNON MARKHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71015687A) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71015687A) |
| Enumeration Date | 2024-09-16 |
| Last Update Date | 2024-10-04 |