NPI | 1407890304 |
---|---|
Other Name | SHANNON FENNELL PATRICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP1742512) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP1742512) |
Enumeration Date | 2006-06-15 |
Last Update Date | 2017-03-06 |