| NPI | 1508568999 |
|---|---|
| Former Name | SHANNON ELAINE FLEMING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX W1764) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL 52306) |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2026-07-01 |