| 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 |