| NPI | 1538860168 |
|---|---|
| Former Name | SHANNON MICHELLE BIRDSALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: FL APRN11029524) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11029524) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: TX 1099254) | |
| Enumeration Date | 2023-03-10 |
| Last Update Date | 2023-11-28 |