NPI | 1376754770 |
---|---|
Former Name | SHANNON MARIE KLINE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: PA MD445573) |
Enumeration Date | 2007-05-25 |
Last Update Date | 2012-07-23 |