| NPI | 1538587092 |
|---|---|
| Former Name | SHANNON ELEANOR MOSELEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO DR0058567) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2022-07-21 |