| NPI | 1346917697 |
|---|---|
| Former Name | SHANNAN EVANS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0006954) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: 1182644) |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2023-08-08 |