NPI | 1457518821 |
---|---|
Former Name | SHANNON D. KOENEMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: AR E-6936) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E-6936) |
Enumeration Date | 2008-05-21 |
Last Update Date | 2014-01-30 |