| NPI | 1538367362 |
|---|---|
| Former Name | SHANNON E YOUNG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WA PA60646227) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: OH 50001694) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2024-07-05 |