| NPI | 1346260288 |
|---|---|
| Former Name | SHANNON L MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 36582) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2006-00913) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2019-07-26 |