| NPI | 1396060224 |
|---|---|
| Former Name | SHANNON SHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: MI 4301104534) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD D81623) |
| 207W00000X Ophthalmology (Licence: MI 4301104534) | |
| Enumeration Date | 2010-04-04 |
| Last Update Date | 2022-07-20 |