NPI | 1558472779 |
---|---|
Former Name | SHANNON CHEFFET |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20A8617) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA 20A8617) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2023-12-21 |