NPI | 1386693414 |
---|---|
Former Name | SHANNON P DRAMIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA OP60036526) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL OS9576) |
Enumeration Date | 2006-05-08 |
Last Update Date | 2021-11-11 |