| NPI | 1407164502 |
|---|---|
| Former Name | SHANNON FRANCES HOLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: FL DN20919) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 59793) |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2019-03-21 |