| NPI | 1336537489 |
|---|---|
| Former Name | SHANNON STEPHENSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: FL 1160) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA13625) |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2025-10-07 |