| NPI | 1407159924 |
|---|---|
| Former Name | SHAWNA L PERSONS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9105812) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: FL PA9105812) |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2018-11-08 |